Information Collection Request

Delta States Rural Development Network Program Measures

ICR 202606-0915-001 · OMB 0915-0386 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 1 Performance Improvement Measurement System (PIMS) - Delta States Form and Instruction Modified Available
Form 1 Performance Improvement Measurement System (PIMS) - Delta States Form and Instruction Modified Available
Supporting Statement A 0915-0386 - FORHP - Delta States - Revision - 06042026.docx Supporting Statement A Uploaded 2026-06-12 Available
Attachment A_Delta Program Legislation.pdf.pdf Supplementary Document Uploaded 2020-05-28 Available
IC Document Collections
IC IDCollectionTypeStatusForm
260179 Delta States Rural Network Development Grant Program Performance Improvement Measurement System Measures - State Local Tribal Form and Instruction ModifiedPerformance Improvement Measurement System (PIMS) - Delta States
211724 Delta States Rural Network Development Grant Program Performance Improvement Measurement System Measures - Private Sector Form and Instruction ModifiedPerformance Improvement Measurement System (PIMS) - Delta States
ICR Details
0915-0386 202606-0915-001
Received in OIRA 202305-0915-003
HHS/HSA
Delta States Rural Development Network Program Measures
Revision of a currently approved collection   No
Regular 06/12/2026
  Requested Previously Approved
36 Months From Approved 07/31/2026
12 12
873 24
0 0

The Delta States Rural Development Network Grant (Delta) Program supports projects that demonstrate evidence based and/or promising approaches around cardiovascular disease, diabetes, acute ischemic stroke, or obesity in order to improve health status in rural communities throughout the Delta Region. HRSA collects information from Delta Program award recipients using an OMB-approved set of performance measures to provide HRSA with information on how well each grantee is improving access to quality health care services in rural communities. The respondents of this data collection will be limited to Delta States Rural Development Network Program grantees.

US Code: 42 USC 254c(f) Name of Law: Public Health Service Act (Section 330A(f))
  
None

Not associated with rulemaking

  91 FR 13041 03/18/2026
91 FR 35692 06/12/2026
No

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 12 12 0 0 0 0
Annual Time Burden (Hours) 873 24 0 849 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The estimated total burden hours have increased to 873 hours, compared to the currently approved 24 burden hours, to reflect the time required for current Delta Program awardees to complete data collection-related training for their internal staff as well as staff within their network partnerships. There are several additional contributing factors to the increase in estimated total burden. These grantee organizations vary in data collection and reporting capacity as well as vary in the number of network organizations they must coordinate with to report this data to HRSA. Furthermore, the grantee organization and its network organizations may not share the same data collection systems/platforms. As a result, this increase in total burden accounts for the time that Delta Program awardees will need to compile and review data quality from its network organizations prior to submitting the data to HRSA.

$43,562
No
    No
    No
No
No
No
No
Laura Cooper 301 443-2126 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/12/2026